Organization · Type 2 NPI
Club 55 Prestige
Respite Care · Rego Park, NY
NPI number
1912447905
Active
Practice location
6408 Fleet St
Rego Park, NY 11374-5244
Fax (718) 275-2652
Mailing address
9707 63rd Rd Apt 3N
Rego Park, NY 11374-1610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Respite Care Primary | 385H00000X | None listed |
Respite Care: Definition to come.
About NPI 1912447905
Club 55 Prestige's National Provider Identifier is 1912447905, issued on Feb 24, 2017. The primary taxonomy on file is Respite Care (385H00000X), and the practice location is in Rego Park, NY. The record was last updated on Feb 24, 2017.